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Has anyone else considered that if you've done a residency, been board certified

at least once, and are in an active practice, seeing patients every day,

maintaining hospital privileges at a JACHO accredited hospital, admitting a

certain number of patients yearly, serving on various hospital committees, doing

CME with accredited programs, that above a certain threshold of such activity,

it could be assumed that you are competent and that re-certification would be

automatic based on your proven level of activity in an environment that is quite

effective at weeding out incompetents. The more traditional board exam tests

(which still need to be re-designed) could be reserved for those who wish to

retain their board certification but are no longer actively practicing clinical

medicine.

Caldwell M.D.

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> Jim and ,

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> Well by Gosh someone just admitted it ( the self serving nature of the

certification process) and thanks for doing so! Bob Keaveny of Physician's

practice had a good piece on the lack of evidence that certification leads to

better outcomes/patient care.

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> Jim, can you provide a citation for your claim that boarded Docs have ability

not possessed by non boarded docs? As we all know, " data " can mean anything.

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> Kathy and - I dont mean to pick a fight or sound critical, but you both

made claims in defense of the cert, process that demand answers- the notion that

a Doc can be proved dlinically competent only by a board exam is just wrong.

Yes, some CME can be blown off, but not med school, parts 1-3 of licensing

boards, or internship/transitional year, correct?

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> To me, the notion that state lic. boards are going to require certification is

the worst type of nanny statism and supporting turf battles. What is so

unacceptable about an experienced, competent GP anyway, esp. if the patient

accepts this in an informed manner?

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>  I'm with in that the insurers, hospitals and credentialers use any

excuse they can to deny payment or access to us, and by us kowtowing to the cert

process, we just prove we are willing to jump thru yet another hoop at our own

expense. When do we ever say, enough!?  And we wonder why healthcare is

shockingly expensive in the US?

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> Riddle me this- if BC is there to prove competency, why do some boards (all,

even?) require association membership (AMA, AOA) for three years prior to even

apply for the exam? Memebership in a trade group does NOT make anyone a better

physician.

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> Respectfully, .

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> zell, DO, MPH.

> 1061 Whispering Lakes Dr.

> Madison, GA 30650

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